Acting and Puppet Comedy Camp at Open Hand Theater
February18-22, 2008
8:30am – 3:30pm

Print and fill out the below form
Send to
Open Hand Theater 518 Prospect Avenue, Syracuse, New York 13208
or call us ~ 315-476-0466

* Name(s): ______________________________________________________________
Age:_______________ Grade _________
Address: _______________________________________________________________
* Parent Name: ____________________________________________________________
* Parent Phone: _______________________________________________
* Parent Email: _______________________________________________
(Please check preferred method of contact)

Any Special Needs ?:
______________________________________________________________________
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Tuition: $ 150.00
Deposit: ( $50.00 non-refundable deposit required)____________._____
Balance due:$__________._____

Please pay by:
Check - Please make checks payable to Open Hand Theater, Inc.
or
Credit Card #__________________________Exp. Date____/____/_______